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Six California Cities: Which Healthcare Economies Are Thriving?

Business Wire


Sacramento is dominated by powerful hospital systems with significant bargaining leverage over health plans. While they compete vigorously, the degree to which they also cooperate — in areas such as community benefits and research funding — contrasts sharply with many other communities. Most of Sacramento’s physicians practice in large groups that are exclusively aligned with one of the hospital systems.

Sacramento’s stable delivery system for insured residents is in stark contrast to its weak and fragmented health care safety net. Sacramento County clinics and private nonprofit clinics are relatively small and financially fragile. Most area clinics have gone without direct federal funding because they lack federally qualified status. There is no designated county hospital.

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